Abstract
Assessing the baseline knowledge status and expectations of the target population of any health promotion and secondary prevention program is essential to the success of such intervention. To obtain this information about the Hong Kong population a priori to implementing these preventive strategies for oral cancer in addition to determining the willingness of potential screening participants to take risk-profiling assessments, a cross-sectional survey was conducted between November 2019 and March 2020. A total of 964 residents between the ages 18 and 86 years were invited to participate in this study across the three geographical areas in Hong Kong. Most participants self-reported being aware of oral cancer (86.3%), although the proportion of those with substantial knowledge on salient risk factors and early identifiable signs were very low (2.9%). Age and level of education were the only demographic characteristics associated with the knowledge status. The proportion of participants willing to attend community screening and partake in risk profiling assessment was high (83.9% and 80.9% respectively). Willingness to attend community screening was directly associated with respondents’ self-reported oral cancer awareness status (OR: 1.9, 95% CI: 1.22–2.96). Also, we observed that those participants who were willing to attend screening are more inclined to take risk prediction assessments that those not willing to attend. These findings have showcased the need to intensify health promotion via personal skills development to encourage early disease presentation and will assist in the planning of these programs accordingly in the Hong Kong population.
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Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424
Ritchie H, Roser M (2018) Our world in data - cause of death [cited 2020 27th March]. Available from: https://ourworldindata.org/causes-of-death#citation. Accessed 27 Mar 2020
Tsai WC, Kung PT, Wang YH, Huang KH, Liu SA (2017) Influence of time interval from diagnosis to treatment on survival for oral cavity cancer: a nationwide cohort study. PLoS One 12(4):e0175148
van der Waal I, de Bree R, Brakenhoff R, Coebergh JW (2011) Early diagnosis in primary oral cancer: is it possible? Med Oral Patol Oral Cir Bucal 16(3):e300–e305
Babiker TM, Osman KA, Mohamed SA, Mohamed MA, Almahdi HM (2017) Oral cancer awareness among dental patients in Omdurman, Sudan: a cross-sectional study. BMC Oral Health 17(1):69
Formosa J, Jenner R, Nguyen-Thi MD, Stephens C, Wilson C, Ariyawardana A (2015) Awareness and knowledge of oral cancer and potentially malignant oral disorders among dental patients in Far North Queensland, Australia. Asian Pac J Cancer Prev 16(10):4429–4434
Shimpi N, Jethwani M, Bharatkumar A, Chyou PH, Glurich I, Acharya A (2018) Patient awareness/knowledge towards oral cancer: a cross-sectional survey. BMC Oral Health 18(1):86
Varela-Centelles P, Estany-Gestal A, Bugarin-Gonzalez R, Seoane-Romero JM (2018) Oral cancer awareness in Spain: a pilot study. Oral Dis 24(1–2):124–127
Wimardhani YS, Warnakulasuriya S, Subita GP, Soegyanto AI, Pradono SA, Patoni N (2019) Public awareness of oral cancer among adults in Jakarta, Indonesia. J Investig Clin Dent 10(1):e12379
Azimi S, Ghorbani Z, Tennant M, Kruger E, Safiaghdam H, Rafieian N (2019) Population survey of knowledge about oral cancer and related factors in the capital of Iran. J Cancer Educ 34(1):116–123
Macpherson LMD (2018) Raising awareness of oral cancer from a public and health professional perspective. Br Dent J 225(9):809–814
Hospital Authority HKCR (2017) Hong Kong cancer statistics. [cited 2020 27th March]. Available from: https://www3.ha.org.hk/cancereg/allagesresult.asp. Accessed 27 Mar 2020
Choi SW, Thomson P (2019) Increasing incidence of oral cancer in Hong Kong-who, where...and why? J Oral Pathol Med 48(6):483–490
Ushida K, McGrath CP, Lo EC, Zwahlen RA (2015) Oral cavity cancer trends over the past 25 years in Hong Kong: a multidirectional statistical analysis. BMC Oral Health 15:83
Adeoye J, Choi S-W, Thomson P (2020) Bayesian disease mapping and the ‘high-risk’ oral cancer population in Hong Kong. J Oral Pathol Med 00: 1–7. https://doi.org/10.1111/jop.13045
Azimi S, Ghorbani Z, Ghasemi E, Tennant M, Kruger E (2019) Disparities in oral cancer awareness: a population survey in Tehran, Iran. J Cancer Educ 34(3):535–541
Claudio C, Katz RV, Green BL, Kressin NR, Wang MQ, Russell SL (2007) Cancer screening participation: comparative willingness of San Juan Puerto Ricans versus New York City Puerto Ricans. J Natl Med Assoc 99(5):542–549
Dost F, Do L, Farah CS (2016) Knowledge of oral cancer risk factors amongst high-risk Australians: findings from the LESIONS programme. Aust Dent J 61(4):432–439
Census and Statistics Department HG (2018) Thematic Household Survey Report No. 67 - information technology usage and penetration Hong Kong: Census and Statistics Department, HKSAR Government; [cited 2020 27th March]. Available from: https://www.statistics.gov.hk/pub/B11302672019XXXXB0100.pdf. Accessed 27 Mar 2020
Rosseel Y, Jorgensen TD, Oberski D, Byrnes J, Vanbrabant L, Savalei V, et al (2019) Package ‘lavaan’ [cited 2020 8th May]. Available from: https://cran.r-project.org/web/packages/lavaan/lavaan.pdf. Accessed 8 May 2020
Kawecki MM, Nedeva IR, Iloya J, Macfarlane TV (2019) Mouth cancer awareness in general population: results from Grampian region of Scotland, United Kingdom. J Oral Maxillofac Res 10(2):e3
West R, Alkhatib MN, McNeill A, Bedi R (2006) Awareness of mouth cancer in Great Britain. Br Dent J 200(3):167–169 discussion 51
The Cabin Hong Kong (2019) How increasing Internet addiction is affecting Hong Kong’s mental health [cited 2020 10th May]. Available from: https://www.thecabinhongkong.com.hk/blog/internet-addiction/how-increasing-internet-addiction-is-affecting-hong-kongs-mental-health/. Accessed 10 May 2020
Monteiro LS, Salazar F, Pacheco J, Warnakulasuriya S (2012) Oral cancer awareness and knowledge in the city of Valongo, Portugal. Int J Dent 2012:376838
Alkhubaizi Q, Khalaf ME, Dashti H, Sharma PN (2018) Oral cancer screening among smokers and nonsmokers. J Int Soc Prev Community Dent 8(6):553–559
Awojobi O, Scott SE, Newton T (2012) Patients’ perceptions of oral cancer screening in dental practice: a cross-sectional study. BMC Oral Health 12:55
Kressin NR, Manze M, Russell SL, Katz RV, Claudio C, Green BL et al (2010) Self-reported willingness to have cancer screening and the effects of sociodemographic factors. J Natl Med Assoc 102(3):219–227
Delgado-Plasencia L, Lopez-Tomassetti-Fernandez E, Hernandez-Morales A, Torres-Monzon E, Gonzalez-Hermoso F (2009) Willingness to undergo colorectal cancer screening in first-degree relatives of hospitalized patients with colorectal cancer. J Med Screen 16(1):33–38
Patra S, Upadhyay M, Chhabra P (2017) Awareness of cervical cancer and willingness to participate in screening program: public health policy implications. J Cancer Res Ther 13(2):318–323
Belete N, Tsige Y, Mellie H (2015) Willingness and acceptability of cervical cancer screening among women living with HIV/AIDS in Addis Ababa, Ethiopia: a cross sectional study. Gynecol Oncol Res Pract 2:6
Ghanouni A, Sanderson SC, Pashayan N, Renzi C, von Wagner C, Waller J (2019) Attitudes towards risk-stratified breast cancer screening among women in England: a cross-sectional survey. J Med Screen:969141319883662
Acknowledgements
The authors appreciate the advice of Professor May Wong regarding the study methodology and statistical analyses. Likewise, we acknowledge the efforts of Joan Wan, Timothy Zhu, Winnie Chiu, Phoebe Lam, and Louise Hui in the translation of the questionnaires and appraisal of the responses provided.
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Adeoye, J., Chu, C.S., Choi, SW. et al. Oral Cancer Awareness and Individuals’ Inclination to Its Screening and Risk Prediction in Hong Kong. J Canc Educ 37, 439–448 (2022). https://doi.org/10.1007/s13187-020-01834-x
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DOI: https://doi.org/10.1007/s13187-020-01834-x